Organization
LOWER EAST SIDE FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA CHAN M.D. (SOLE MEMBER/OWNER)
(212) 777-4329
Entity
Organization
Contact information
Practice address
260 E BROADWAY STE 2, NEW YORK, NY 10002-5609
(212) 777-4329
(212) 777-4301
Mailing address
260 E BROADWAY STE 2, NEW YORK, NY 10002-5609
(212) 777-4329
(212) 777-4301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213958
NY
Other
Enumeration date
09/24/2012
Last updated
01/13/2013
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